Open Access
American Research Journal of Orthopedics and Traumatology
ISSN (Online): 2572-2964
DOI: 10.46568/arjot
Surgical Treatment of Marginal Osteochondral Impaction in Acetabular Fractures
Abstract
Purpose: clinical and radiological evaluation of the results of the technique of elevation and grafting of osteochondral marginal impaction fragment of posterior wall acetabular fractures and complications assessment in follow up period 1-3 years.
Methods: Twenty patients were available for this study had fracture acetabulum with marginal impaction fragment. Elevation, reduction and bone graft impaction of the defect was the technique in all cases. Follow up was 1-3 years. Evaluation of patient was done clinically and radiologically.
Results: Radiologically, according to the Matta’s criteria of reduction quality there were anatomic reduction in 16 patients (80%), and satisfactory reduction in 4 patients(20%). Clinical assessments based on modified Merle d’Aubigné and Postel score include 4 (20%) excellent scores and 12 (80%) good scores, and 3 (15%) fair results, and poor in one patient who had revision by total hip replacement.
Conclusion: Diagnose of marginal impaction fragment preoperatively makes operative technique by elevation, reduction, bone graft packing, and fixation become mandatory to obtain anatomic reduction and favorable outcome. This technique should be completed before final fixation of the main fracture acetabulum.
Methods: Twenty patients were available for this study had fracture acetabulum with marginal impaction fragment. Elevation, reduction and bone graft impaction of the defect was the technique in all cases. Follow up was 1-3 years. Evaluation of patient was done clinically and radiologically.
Results: Radiologically, according to the Matta’s criteria of reduction quality there were anatomic reduction in 16 patients (80%), and satisfactory reduction in 4 patients(20%). Clinical assessments based on modified Merle d’Aubigné and Postel score include 4 (20%) excellent scores and 12 (80%) good scores, and 3 (15%) fair results, and poor in one patient who had revision by total hip replacement.
Conclusion: Diagnose of marginal impaction fragment preoperatively makes operative technique by elevation, reduction, bone graft packing, and fixation become mandatory to obtain anatomic reduction and favorable outcome. This technique should be completed before final fixation of the main fracture acetabulum.
